Organization Active NPI

Syreeta C Jones DDS

  • Dentist
  • Kankakee, IL
National Provider Identifier
1306270046
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019025748 Issued in IL
Legal business name
SYREETA C JONES DDS
Practice address
986 E Court St
Kankakee, IL 60901-4168
Phone
(815) 325-2613
NPI assigned
Aug 29, 2013
Organization subpart
Yes
Parent organization
SYREETA C JONES DDSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Syreeta C Jones, DDS
Title
President
Phone
(815) 325-2613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019025748 IL Primary

Addresses

Primary practice location

986 E Court St
Kankakee, IL 60901-4168

Mailing address

986 E Court St
Kankakee, IL 60901-4168
Phone (815) 325-2613

National Provider Directory

National Provider Directory
Tax ID family
Syreeta C Jones DDS2 organizations share this tax ID, including this one
Part of
Syreeta C Jones DDS

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1306270046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 E COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609014168",
            "telephone_number": "815-325-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 E COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609014168",
            "telephone_number": "815-325-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYREETA C JONES DDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYREETA C JONES DDS",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SYREETA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-325-2613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.